Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid scams in Hammond, Indiana

Medicare and Medicaid fraud cost Indiana taxpayers billions of dollars every year. While most medical providers and drug companies are ethical and work within the system, some don’t. When fraud occurs, everybody can lose. Medicare and Medicaid whistleblower lawyers can help healthcare professionals to submit claims on behalf of the federal or state government to report these kinds of scams.

The federal and state governments place a great deal of trust in medical and pharmaceutical companies. When that trust is ill-placed, the government depends on regular folks in Indiana to come forward and to report fraud. People like you.

Work with

Experienced Medicaid and Medicare whistleblower lawyers; representing health care employees in Hammond, Indiana

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and fraud in the industry. understand that stepping forward is hard and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we completely investigate your claim, diligently prepare your case, for court, and work tirelessly with you and the state of federal government to help bring fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Hammond, Indiana

In Indiana, scams against the government is a significant expense to taxpayers. The Indiana False Claims and Whistleblower Protection Act enables private citizens with knowledge of fraud to bring forth a qui tam lawsuit on behalf of the state. This law holds individuals, companies, and other entities accountable when they have provided incorrect or deceitful claims for payment to the state of Indiana, have misused state property, or deceptively hid or avoided payment obligations to the state.

 

The state of Indiana has a separate act particularly to deal with Medicaid fraud. This is called the Medicaid False Claims and Whistleblower Act. This Act enables private individuals who have knowledge and proof of Medicaid fraud to submit a whistleblower claim on behalf of the state.

 

Under these Acts, a whistleblower who files a successful lawsuit may get between 15 and 30 percent of the recovery, depending upon if the government was party to the lawsuit. The court may decrease this award if the person took part in the scams or if the information offered had actually been revealed in the media or through public hearings.

 

These Acts likewise protect against employer retaliation as a result of the whistleblower’s filing suit.

Liability of the Defendant in Hammond, Indiana

Under the Indiana False Claims and Whistleblower Protection Act, the defendant might be responsible for up to 3 times the cost to the state. In addition, the accused may be required to pay a fine of $5,000 for each violation.

 

Under the Medicaid False Claims and Whistleblower Protection Act, an accused can also be commanded to pay up to three times the financial harm to the state, in addition to penalties of between $5,500 and $11,000 per offense. Accuseds might also be responsible for the costs of the civil action.

Statute of Limitations in Hammond, Indiana

Under both the Indiana False Claims Act and Whistleblower Protection Act and the Medicaid False Claims and Whistleblower Protection Act, the whistleblower should submit a complaint within 10 years of the date of the violation.

Working With an Experienced Whistleblower Attorney

If you have evidence of deceitful Medicaid activity in Hammond, Indiana, you may be entitled to file a qui tam claim on behalf of the state and gather a benefit for your brave efforts. At Khurana Law Firm, we offer a confidential, no-cost assessment to discuss your rights under whistleblower laws in Indiana. If you are a healthcare worker and have experienced scams or abuse, call us.

What is

Medicare Advantage Fraud

Medicare Advantage (MA) plans are privately run healthcare options offering Medicare-eligible individuals additional services that are not included in traditional Medicare. These organizations receive payment from Medicare for each of their members that vary according to their risk adjustment. Some Medicare Advantage organizations overestimate and exaggerate a member’s risk or a patient’s diagnoses to get higher payments from Medicare. They do this by:

Upcoding

The MA provider increases the severity of the patient’s condition, submitting a more serious diagnosis code to get paid by Medicare at a higher rate.

Chart reviews

The MA provider reviews charts to add additional diagnosis codes.

Chart mining

The MA provider mines patient’s charts to look for conditions that are not current but can put as current to increase their payments from Medicare.

Adding unsupported diagnosis

Coders are directed to add codes based on other information in the chart.

Not removing old diagnosis codes

The MA provider increases the severity of the patient’s condition, submitting a more serious diagnosis code to get paid by Medicare at a higher rate.

Sham RADV audits

The MA provider reviews charts to add additional diagnosis codes.

Incentivizing doctors

The MA provider mines patient’s charts to look for conditions that are not current but can put as current to increase their payments from Medicare.

Pre-filling charts

Coders are directed to add codes based on other information in the chart.

If you suspect Medicare Advantage Fraud, you are a healthcare worker in Hammond, Indiana, get in touch with us here.

Khurana Law Firm, P.C.
Medicare Fraud
Medicare Fraud is a Serious Problem

While there are no exact figures concerning Medicare fraud, we do know it is a huge problem. In the fiscal year 2020, the government recovered over $1.8 billion in civil and fraud claims relating to the healthcare industry. 

$ 0
Recovered only in 2020
YOU, the healthcare worker, provide the most vital role in combating Medicare abuse and fraud.

Watching for fraud and abuse within your organization, practice, or provider’s office helps protect everyone from this taxpayer drain and holds abusers accountable.

So what is Medicare Fraud?

Fraud, as it relates to Medicare, is when individuals or entities make false statements or representations to benefit themselves at the expense of the Medicare program. 

Who defrauds Medicare?

Medicare fraud can involve numerous individuals, organizations, and entities, including physicians and nurses, physician-owned groups, drug companies, home health providers, medical device providers, nursing homes, and others.

How do people and companies commit Medicare fraud?

Fraud and abuse come in many different forms from coding abuses, to kickbacks, to altering records, to organized crime infiltration. Each method benefits the abuser while costing taxpayers billions. 

What laws protect Medicare from fraudulent activity?

The False Claims Act, Anti-kickback Statute, Stark Law, and Federal Criminal Healthcare Fraud Statute hold abusers accountable for their fraudulent activity. 

What government agencies protect against Medicare fraud?

Many government agencies strive to protect and promote the integrity of Medicare. These include the Centers for Medicare and Medicaid Services, Center for Program Integrity, US Department of Health and Human Services, and US Department of Justice, all attempting to keep Medicare fraud at bay. But they rely on people like YOU to be their eyes and ears.

How can I help?

If you see abuse and fraudulent activity you should report it. In some cases, you may even be entitled to a reward. If you are a healthcare worker in Hammond, Indiana,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

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WORKING WITH An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Hammond, Indiana

When you become aware of deceitful activity as it concerns Medicaid or Medicare in Hammond, Indiana, you require the guidance of an experienced whistleblower attorney, someone who can make sure that your claim is totally investigated and filed accurately and quickly. By dealing with a skilled attorney you are increasing the chance that the government will intervene, therefore increasing your chances for a financial reward. Reporting Medicaid and Medicare scams is an intricate matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam attorneys to help in your fight against Medicaid and Medicare scams. After you contact us, our attorneys will examine your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we may represent you in a qui tam lawsuit to report the fraud and allow you to collect a reward. Because all whistleblower work is on contingency, you pay absolutely nothing until there is a settlement. Get in touch with us today to learn how we can help.

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